MRS. KAREN ROSS CRNP
NPI 1245873959
Nurse Practitioner - Adult Health in Oneonta, NY

Q: What is Karen Ross's NPI number?

The NPI number for Karen Ross is 1245873959. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Q: What is Karen Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Karen Ross was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2019PECOS EnrolledAccepts Medicare Assignment

330 CHESTNUT ST, ONEONTA, NY 13820(410) 334-2227(607) 431-9027 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2021, Aug 10, 2020, Oct 25, 2019 (3 updates tracked since 2019).

On this page

About Mrs. Karen Ross Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KAREN ROSS CRNP (NPI 1245873959) is an individual adult health provider in Oneonta, New York, licensed in New York (311485) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245873959

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. KAREN ROSSCredential: CRNP

Location Address330 CHESTNUT STOneonta, NY 13820-1212

Mailing Address330 Chestnut StOneonta, NY 13820-1212 · (607) 432-8500

Phone(410) 334-2227

Fax(607) 431-9027

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 25, 2019

Last NPPES UpdateFebruary 1, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2024

✔ NPI 1245873959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in NY · 311485✔ Licensed in MD · R166689

330 CHESTNUT ST, Oneonta, NY 13820

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Karen Ross Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648606756

PECOS Enrollment IDI20240212002962, I20260505002229

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Karen Ross reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nys Medical Associate PLLC

135 mi

Internal Medicine

65-11 BOOTH STREET, SUITE 1C
Rego Park, NY 11374

Reassigned Medicare billing, New York enrollment
79 clinicians in this Medicare group

NPI 1104268572 (718) 806-1434

Mill Basin Medical Health PC

141 mi

Internal Medicine

1583 E 66TH ST FL 1
Brooklyn, NY 11234

Reassigned Medicare billing, New York enrollment
158 clinicians in this Medicare group

NPI 1346006202 (917) 318-4724

Daniel Novick MD PLLC

143 mi

Family

20 E SUNRISE HWY FL 2
Valley Stream, NY 11581

Reassigned Medicare billing, New York enrollment
30 clinicians in this Medicare group

NPI 1770327447 (516) 543-6249

Ma Snf On Call PLLC

209 mi

Internal Medicine

538 ROBESON ST
Fall River, MA 02720

Reassigned Medicare billing, Massachusetts enrollment
10 clinicians in this Medicare group

NPI 1629938790 (508) 679-6172

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,698 services234 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,169 services137 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

384 services143 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

349 services125 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

327 services132 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

323 services125 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

323 services133 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

85 services54 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

84 services54 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

82 services53 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

50 services50 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

49 services49 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

37 services29 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330136

LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County

Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331305

Location460 Andes RoadDelhi, NY 13753 · Delaware County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORNH, INC.

Skilled Nursing Facility

330 CHESTNUT ST
ONEONTA, NY 13820

Otsego County (607) 432-8500

ORNC LLC

Skilled Nursing Facility

330 CHESTNUT ST
ONEONTA, NY 13820

Otsego County (845) 371-8100

DANIELA XIMENA TOVAR VILLADA MD

Internal Medicine

330 CHESTNUT ST
ONEONTA, NY 13820

Otsego County (607) 432-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Ross's NPI number?

The NPI number for Karen Ross is 1245873959. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Karen Ross located?

Karen Ross practices at 330 Chestnut St, Oneonta, NY 13820. The listed phone number is (410) 334-2227.

What is Karen Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Ross enrolled in Medicare?

Yes. Karen Ross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karen Ross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Ross reassigns Medicare benefits to 4 organizations: Nys Medical Associate PLLC (Rego Park, NY), Mill Basin Medical Health PC (Brooklyn, NY), Daniel Novick MD PLLC (Valley Stream, NY) and Ma Snf On Call PLLC (Fall River, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Ross accept?

Health plans from AmeriHealth Caritas Next list Karen Ross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Ross affiliated with any hospitals?

According to CMS data, Karen Ross is affiliated with Wynn Hospital, Bassett Healthcare and O'connor Hospital.

When was this NPI record last updated?

The NPPES record for Karen Ross was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.